51 Route 204 Opco LLC
NPI #1629886684 in Selinsgrove, Pennsylvania
Provider Information
- NPI Number
- 1629886684
- Entity Type
- Organization
- Organization Name
- 51 Route 204 Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 23, 2024
- Last Updated
- Apr 28, 2025
Practice Location
- Address
- 51 ROUTE 204
- City
- Selinsgrove
- State
- Pennsylvania
- ZIP Code
- 17870-8066
- Phone
- (570) 374-8181
Authorized Official
- Name
- TIFFANY HOBACK
- Title
- MANAGER
- Phone
- (770) 698-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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